Wed, Jan 31, 2018 - Page 7 News List

Brazilians jittery over yellow fever vaccine shortage


A boy cries as he is vaccinated against yellow fever at a public health center in Sao Paulo, Brazil, on Oct. 25, last year.

Photo: AFP

Brazil is firing from all barrels to stop a yellow fever surge that has already killed dozens, but with vaccines short, the ammunition is already running out.

Hundreds of frustrated and increasingly worried people have been lining up outside medical centers in Sao Paulo in recent weeks in hopes of getting their vaccination — some getting treated and others to be told that none was available.

Authorities in Brazil’s most populous state, with 45 million residents, are trying to make up for the shortfall by distributing partial doses.

The potentially fatal virus, which is transmitted by mosquitoes, is common in Brazil, but the scope this year has taken authorities by surprise in Sao Paulo, while tension is also rising in Rio de Janeiro and Minas Gerais states.

Last year, there was a total of 53 cases, with 16 deaths, in Sao Paulo. By comparison, there have been 134 cases with 52 fatalities here in the first three weeks of this month.

Brazilian authorities aim to vaccinate almost 22 million people, according to the WHO.

However, with vaccines in short supply, 16.5 million of them will be given only partial doses.

Officials said these so-called “fractionated doses” will work for up to eight years, while the full dose lasts a lifetime.

“We are distributing the fractionated doses because of the risk of not having any vaccines,” Sao Paulo State disease control coordinator Marcos Boulos said.

Brazilian Minister of Health Ricardo Barros, said the situation is under control.

“We could vaccinate all Brazilians in 60 days if needed,” he said.

That does not reassure people waiting hours outside vaccination centers or showing up to find signs posted with “No vaccines available.”

“We are worried because we haven’t managed to get vaccinated,” said Maria Pereira, a 33-year-old secretary, who was scouring private clinics in Sao Paulo, where a dose costs about US$60, rather than free of charge from public providers.

Sao Paulo, which is the biggest city in Latin America, first got the jitters in October last year when two monkeys were found dead with the virus in a city park.

Since then, more than 60 monkeys have been found dead, some of them apparently killed by city residents who mistakenly fear the animals help spread the virus.

In response, the Sao Carlos Ecological Park in Sao Paulo has adopted two orphaned baby monkeys and launched a campaign under the freemacaco hashtag to appeal for the animals to be protected.

The phenomenon has been repeated in Rio de Janeiro to an even greater extent, with 131 monkeys found dead so far this year, the health secretary of Rio de Janeiro State said — 69 percent of them killed by people.

Sao Paulo health authorities have focused vaccination programs on neighborhoods near the Botanical Garden and zoos, which were all closed a week ago and where monkeys are present.

Some fear that transmission of the virus could expand from its basic rural form in Latin America — from mosquitoes to monkeys — to an urban cycle where mosquitoes carry yellow fever from one infected human to another.

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